2. Dr Marlene Pearce
GP Liaison Officer

3. Same Day Discharge Summaries
Health Provider Portal
GPSI Project
Questions

4. Same Day Discharge Summaries
Discharge Summary Steering Group
Accurate, concise, complete by day of discharge
Ongoing quality improvement project

5. Health Provider Portal
Allows GPs to view any QLD public hospital;
Results (pathology, radiology)
Discharge Summaries
Outpatient appointment bookings
…though an online viewer from their clinic desktop computer.
Info / Registration webpage:

8. How to register for HPP Step 1: PM - Update QLD Health STS Database
Check all GP details correct (Medicare Provider number & HPI-I number)
Step 2: GP - Register for a QGov account
100 points of ID – uses document numbers
Complete online in 5 mins
Step 3: GP - Register for HPP
Need AHPRA number, HPI-I and Provider number

9. Update STS Address Book
Queensland Health’s STS (secure transfer service) Address Book lists all electronic inbox addresses for GPs in QLD
Often out-of-date if GPs change practices / locations – Practice managers: please update regularly
Delays timely electronic communication if incorrect, things have to be manually handled + faxed instead of sending via Medical Objects

10. STS Address Book contacts
Practice update form:
Individual GP update form:
Contacts for QH STS Address Book team:
Phone: /

11. GPSI Project 25 GPs working in 11 specialties
Generally each works 1-2 sessions / week
Key outcomes;
Increased access for patients
Improved discharge rates back to regular GP
Increased specialist understanding of skills of GPs
Improving GP upskilling in community – consider ‘horizontal referrals’ to GPSIs in private practice

12. Questions?
GP Liaison Office
Phone /
Fax
Referral Centre Note: Outpatients is now called Ambulatory Care Centre/ACC
Referral Centre GP Hotline (do not give to patients)
GPs/Practice staff only for outpatient enquiries
Patient line

13. Catering supplied by

14. Nurse Navigators
Who we are, what we do

15. Valda

16. Model of Care
Nurse Navigators work for the HHS. We provide services to ensure the right patient at the right time is navigated successfully to the right place. Success is achieved through engagement and co-ordination of all health services; acute, outpatient and primary/community health.
Valda

17. Nurse Navigator Key Role Principles
Patient
Coordinating Care
Improving Patient Outcomes
Creating Partnerships
Facilitating System Improvement
Coordination of Care
Person centred
Reducing fragmentation and enhancing patient QOL
Creating Partnerships
Providing a central patient communication pathway across primary and tertiary care providers
Improving patient outcomes
Through patient participation, health goals and health literacy
Facilitating System Inprovement
Reducing fragmentation, duplication., time delays and other barriers to effective patient centered care.

18. Nurse Navigator Patient Continuum

19. Nurse Navigation gives results
The first six months of
Nurse Navigation gives results
January – June 2018

21. For more information on eligibility and referral, search ‘Nurse Navigator Service’ page on Health Pathways
username:        usersc
password:        pwsc
Or Contact the Nurse Navigator Intake Officers on or

22. Preferred option

24. Clinical Prioritisation Criteria SCHHS CPC Coordinator & GPLO CN
Department of Health Awards for Excellence winners 2018
Clinical Prioritisation Criteria
SCHHS
Merrin Godwin
SCHHS CPC Coordinator & GPLO CN

25. CPC State-wide Referral & Triage Guidelines
Making triage everyone's business—Implementing cross-sector behavioural change to ensure appropriate patient referral to Queensland Specialist Outpatient Services
The Specialist Outpatient Strategy: Improving the patient journey by 2020 launched by the Minister for Health and Minister for Ambulance Services on 6 September 2016.

26. CPC Role & Responsibilities
CPC Coordinator SCHHS
Implementing, integrating & coordinating
HealthPathways liaison & waitlist management strategiy
Support, education, strategic planning, referral guidelines, GP liaison, healthcare partnerships, service efficiencies and other HHS mentorship
Aligning service, HHSs and state-wide priorities for service improvements
Collaboration
GP Liaison Office
Primary Health Network (PHN) HealthPathways Lead
Outpatient Services and Referrals Management
All CPC service specialties
GP community

27. CPC & GPs Improve patient access to care Clinical urgency criteria
Essential information
Sunshine Coast HealthPathways for GPs
State-wide for referral and triage
Integrated in Smart Referrals
GPLO Newsletter bulletins
CPC applies to internal referral
Decreased request for additional information
PHN, GPLO & Referral Centre support when needed

29. Successful Referral *handout
Secure electronic referral to SCUH
Update eReferral templates via PHN
Update GP details in the STS address book *handout
Register interest for Smart Referrals system upgrade with PHN
Add HealthPathways to GP desktops as favourite
Avoid faxed referrals
Clearly identify specialty and clinical condition
Use PDF photo referral where applicable *handout
Allow time for referral processing

30. Successful Referral cont.
Urgent only when Category 1
If the patient needs assessment within hours, please contact the service prior to sending a referral
Use clinical override when
Inability to include essential referral information
Patient does not meet minimum referral criteria
Presence of Clinical Modifiers
Clearly articulate Clinical Override reason in referral
Discuss possible wait times and alternative pathways
Original referral and requested clinical information all resubmitted if not accepted initially

31. Qld Pelvic Mesh Service (QPMS)
State-wide service offered from Gold Coast Health
A holistic service with a team of specialists dedicated to treating, supporting and caring for women who have experienced complications from transvaginal pelvic mesh surgical devices
Patient access by GP Referral on specialised referral form
Located at Varsity Lakes Day Hospital, Gold Coast
Travel and accommodation subsidy available
Website resource with all information
*handout

32. Department of Health Awards for Excellence winners 2018
Thank you
Department of Health Awards for Excellence winners 2018
CPC
Equitable health outcomes and broad engagement with partners
Making triage everyone's business— Implementing cross-sector behavioural change to ensure appropriate patient referral to Queensland Specialist Outpatient Services, Clinical Excellence Division

33. Questions?